HomeMy WebLinkAboutApplication Applicant 2/3/2022City of Springfield
Development & Public Works
225 Fifth Street
Springfield , OR 97477
SPRTNGFIELD
PERMIT REVIEW INTAKE FORM (City Staff completes form)
Dept of Motor Vehictes-New: E Land Use Compatibility Statement: E City: X
Dept of Motor Vehicles-Renewal: tr Zoning Verification Letter: X
DavisAicant Name: Timberl Phone: 503-270-53L4
Q10 National MortqaqeCompanv:Cell:
15862 SW 72nd Avenue, Suite 200 Portland OR 97224Address:
Property Owner: Cloverdale LLC Phone:
Cell:Company:
840 Beltline Road, suiteAddress:
TAX LOT NO(S) = 2206ASSESSOR'S MAP NO: L7032200
Property Address: 886 Harlow Road
Description of Proposal:
Zoning Verification Letter for Cloverdale Apartments
Record No: 811-22-OOOO23 Date Received:1
Technical Fee: $Application Fee: $
Assigned Planner:L. MilerTOTAL FEES: $
Permit Type
Project Information
Record Information
Revised 11.2.11k1
UGB: tr
SAMPLE GITY LETTER
Place on City Letterhead
Cloverdale, LLC
Attn: Richard Boyles
840 Beltline Road, Suite 202
Springfield , OR 97477
Re: Premises:
Suftea€Z
Springfield, OR 97477
Tax Parcel: 1703220002206
Ladies and Gentlemen
The undersigned hereby certifies with respect to the property legally described in
Exhibit "A" attached hereto ("Premises") as follows
The zoning code affecting the Premises is
The Premises and its intended use as a shopping center complies with the
applicable zoning codes, city ordinances and building, environmental and energy
codes, ordinances and regulations:
fl Yes n ruo
Comments
There are no variances, conditional use permits or special use permits required in
connection with the construction and/or the operation of the improvements on the
Premises or its uses. lf there are, specify the same and the relevant terms and
any pertinent restrictions on rebuilding or othenvise check here:
fl None
Comments:
Cloverdale Apartmentsffi''" K-rkHfflau;rtoad
1
2
3
34131270;01/12122
4 The Premises complies with all subdivision ordinances affecting it and can be
conveyed without the filing of a plat or replat of the Premises:
nYes nruo
Comments
5 The Premises complies with all setback and parking laws and regulations
(including the floor area ratio, off-street parking and off-street loading):
fl Yes E ruo
Comments:
6 The Premises is located within a federally designated flood plain
EYes nNo
lf yes, specify the nature of the zone'.
All appropriate and required city permits, licenses and approvals have been
provided for the intended use of the Premises.
n Yes E trlo
Comments
lf additional space is required for any of the above, please use the reverse side
34131270;01112122 a
7.
lf there are any additional facts regarding the Premises and its proposed use which would
be material consideration, please include that information
Signature of Authorized Person
Typed or Printed Name of Sig
Title of Signatory
City or Other GovernmentalAge
Date 2001
34131270;0lll2l22 -3-
34131270;01112122
TC3: 763680 v}l 0711312001
EXHIBIT "A"
LEGAL DESGRIPTION